Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LONG BEACH VAMC
NPI 1396378030
Clinic/Center - VA in Gardena, CA

Active since February 21, 2020
1141 W REDONDO BEACH BLVD STE 212, GARDENA, CA 90247(702) 341-3152(702) 341-3503 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Feb 21, 2020 (2 updates tracked since 2020).

About Long Beach Vamc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG BEACH VAMC (NPI 1396378030) is a healthcare organization registered as a va in Gardena, California and active in the NPI registry since February 2020. The organization lists Erin Denise Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1396378030
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameLONG BEACH VAMC
Location Address1141 W REDONDO BEACH BLVD STE 212Gardena, CA 90247-3584
Mailing AddressPo Box 94407Cleveland, OH 44101-4407 · (702) 341-3152 · Fax (702) 341-3503
Fax(702) 341-3503
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team · (202) 382-2579
Enumeration DateFebruary 21, 2020
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1396378030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1141 W REDONDO BEACH BLVD STE 212, Gardena, CA 90247

Other Names 1

Other NameGardena Va Clinic

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1141 W REDONDO BEACH BLVD STE 212
GARDENA, CA 90247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Beach Vamc's NPI number?

The NPI number for Long Beach Vamc is 1396378030. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is also known as Gardena VA Clinic.

Where is Long Beach Vamc located?

Long Beach Vamc is located at 1141 W Redondo Beach Blvd Ste 212, Gardena, CA 90247. The listed phone number is (702) 341-3152.

What is Long Beach Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Long Beach Vamc was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.